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JEANNIE MARIE JOHNSON DC
>> Chiropractor >> Chiropractic ProvidersRegistrant NPI Number: 1508170689
Individual Registrant: JEANNIE MARIE JOHNSON DC
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
132 MILL RUN DR LAKE MARY, FL 32746-3311 US
Tel: 407-716-6553 Fax: --
Tel: 407-716-6553 Fax: --
Contact information for business:
132 MILL RUN DR LAKE MARY, FL 32746-3311 US
Tel: 407-716-6553 Fax: --
Tel: 407-716-6553 Fax: --
Registration Information:
NPI: 1508170689
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractic Providers Chiropractor | FL | CH9873 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
